Endometriosis sometimes occurs in abdominal wall scars following operations on uterus or tubes and is known as Scar endometriosis.

Operations most likely to be followed by scar endometriosis

Hysterotomy° • Classical cesarean section°

Myomectomy° • Ventrofixation°

Following operations for section of Fallopian tube° • Following operations for removal of pelvic

Episiotomy° endometriosis°

Q. 2

A primipara is in labor and an episiotomy is about to be cut. Compared with a midline episiotomy, an advantage of mediolateral episiotomy is:

A

Ease of repair

B

Fewer breakdowns

C

Less blood loss

D

Less extension of the incision

Q. 2

A primipara is in labor and an episiotomy is about to be cut. Compared with a midline episiotomy, an advantage of mediolateral episiotomy is:

A

Ease of repair

B

Fewer breakdowns

C

Less blood loss

D

Less extension of the incision

Ans.

D

Explanation:

Midline episiotomies are easier to fix and have a smaller incidence of surgical breakdown, less pain, and lower blood loss. The incidence of dyspareunia is somewhat less. However, the incidence of extensions of the incision to include the rectum is considerably higher than with mediolateral episiotomies.